Analysis of Left Atrioventricular Plane Movement during Diastole in Ischemic Heart Disease.

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概要

• 論文の詳細を見る

• The aim of the present study was to investigate the properties of diastolic left atrioventricular plane displacement (AVPD) in coronary artery disease (CAD) patients. In 125 patients (mean age 58.7±13.7) with CAD and in 51 age-matched healthy subjects, a complete transthoracic echocardiographic study was performed. The AVPD was recorded by M-mode echocardiography, from apical four and two chamber views at four sites corresponding to the septal, lateral, anterior and inferior walls of the left ventricle. Mean AVPD in early diastole (E-AVPD), mean AVPD from atrial systole (A-AVPD) and the ratio A-AVPD/E-AVPD were determined. In normal subjects, such as in 35 patients without left ventricular segmental wall motion abnormalities (SWMA), stepwise multiple regression analysis showed none of these factors to be significantly related to E-AVPD or A-AVPD. Aging was correlated negatively to the E-AVPD/A-AVPD ratio (p<0.05). In 90 patients with left ventricular SWMA, stepwise multiple regression analysis showed that indices of left ventricular systolic function correlated positively to E-AVPD (p<0.001) and A-AVPD (p<0.001). The E-AVPD/A-AVPD ratio was correlated to left ventricular ejection fraction and heart rate (p<0.005). Mean E-AVPD was significantly lower in CAD patients than in normal subjects (p<0.001), while A-AVPD was higher in patients without left ventricular SWMA in comparison to normal subjects (p=0.02). Also, mean A-AVPD/E-AVPD was higher in CAD patients than in the control group (p<0.001). Mean E-AVPD/A-AVPD was correlated to the E/A ratio of transmitral flow in CAD patients with (r=0.669) and without (r=0.771) SWMA.The E-AVPD and A-AVPD in CAD patients with SWMA is reduced according to the deterioration of left ventricular systolic function. The atrial contribution to the longitudinal distension of the left ventricle is increased in CAD patients. In CAD patients, especially those without left ventricular SWMA, the E-AVPD/A-AVPD ratio has a good correlation to left ventricular filling behavior.(Jpn Heart J 36: 545-556, 1995)

• International Heart Journal刊行会の論文

著者

• Kranidis Athanasios

  First Department Of Cardiology Evagelismos Hospital Athens

• KAPPOS Kostas

  First Department of Cardiology, Evangelismos Hospital

• KARDARAS Fotis

  First Department of Cardiology, Evangelismos Hospital

• FILIPPATOS Gerasimos

  First Department of Cardiology "Evangelismos" Hospital

• KOSTOPOULOS Konstantinos

  First Department of Cardiology "Evangelismos" Hospital

• ANTHOPOULOS Lambros

  First Department of Cardiology "Evangelismos" Hospital

• SIDERIS Antonis

  First Department of Cardiology "Evangelismos" Hospital

• ANTONELIS John

  Haemodynamics Department,"Evangelismos" Hospital

• MARGARIS Nikos

  Haemodynamics Department,"Evangelismos" Hospital

• AMARTOLOS Panos

  First Department of Cardiology "Evangelismos" Hospital

• KRITHARIDOU Georgia

  Haemodynamics Department,"Evangelismos" Hospital

• TAVERNARAKIS Antonis

  Haemodynamics Department,"Evangelismos" Hospital

• AMARTOLOS Panos

  First Department of Cardiology "Evangelismos" Hospital

• TAVERNARAKIS Antonis

  Haemodynamics Department,"Evangelismos" Hospital

関連論文

• Letter by Tsilakis et al Regarding Article "Subclinical Left Ventricular Longitudinal Systolic Dysfunction in Hypertension With No Evidence of Heart Failure"(Letter to the Editor)
• Study of Left Ventricular Long Axis Function in Patients with Hypertensive Response to Exercise
• Apical Hypertrophic Cardiomyopathy with Unusual Features in a Greek Woman.
• Analysis of Left Atrioventricular Plane Movement during Diastole in Ischemic Heart Disease.

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